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General NPI Number Information
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NPI Number | 1780101972
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Entity Type | Individual
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Provider Name | MICHAEL GARRETT PITTS
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Gender | Male
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 05/18/2023
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Provider Practice Location Address
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Address Line | 760 MIDDLE ST
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City | FAIRHOPE
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State | AL
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Zip | 36532-1766
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Country | US
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Telephone | 251-850-2050
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Fax |
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Provider Business Mailing Address
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Address Line | 2823 GREYSTONE COMMERCIAL BLVD
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City | HOOVER
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State | AL
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Zip | 35242-2660
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH8579
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License Number State | AL
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